Women's Health problems in Pakistan
Unfortunately, only 15 out of 117 took regular injections at an interval of two months for one year. Only 10 out of 48 on pills came for a second month's dose because they were reluctant to take the pill daily.

This activity was more of a failure because;
a) Women do not understand the importance of timing in the menstrual
   cycle
b) They have a lot of misbeliefs regarding medicines
c) Women do not have sex education knowledge
d) There are a lot of 'quack' medicines available in the market which
    claim effectiveness for one year if taken once a year.

There is a great need for health education, counseling and group discussions regarding this problem

To address the problems of Breast disorders, the following question was formulated:

Question
Will a Programme of "health education and facilities for free training for Breast Self Examination (BSE)" and affordable Breast examination, by Dr Manzoor and Mrs. Raheela Manzoor at Maqbool Clinic, Dhoke Kala Khan for one year for women of Dhoke Kala Khan reduce the incidence of breast problems by 20%?

The activities were formally started on 01-05-00 and till now only consist of examination by me or my wife as well as referral of problem cases to hospital. I trained my wife with the help of the Internet and via patient examinations.		 During 2001, about 142 patients attended our clinic.
a) Fifty five were lactating women with acute infection; 29 were referred
    to hospital for I & D, the rest were successfully treated with
    antibiotics and other supportive measures. 
b) Thirty were young girls who complained of strange things palpable in
    breast. Examination revealed no abnormality but normal glands. They
    were advised, reassured, and given supportive treatment 
c) 1 girl presented with sinus in the left breast following acute infection.
    She was also successfully treated and is now receiving follow-up
    treatment by us as well as a surgeon in hospital.
d) 1 woman was eighty years old with a hard mass in breast. She was
    referred to hospital where carcinoma was diagnosed and the breast
    was removed. She comes to us for regular follow-up.
e) 4 were discovered to have a lump in the breast and were referred to
    hospital where biopsy had revealed benign tumor. These have been
    reassured and given supportive treatment and advice for frequent
    follow-ups.
f) One unmarried woman of 33 years C/O discharge from nipple. She
   was referred to hospital for biopsy which revealed nothing. We are
   following her up by taking a smear from the discharge and we get it
   examined by a Pathologist every six months.
g) The rest of the women did not have any abnormality. They are
    advised to do "Breast Self Examination" every month and come here
    for a check up after every six month

The major problem in this sector is that women present very late because of their shyness and the only answer to it is training of Breast Self Examination. We have purchased a Pentium-111 multimedia computer from the clinic's own resources and we have begun this training in groups.

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